Individual provider Active NPI

Katherine Donahoo, LIMHP, LPC, PLADC

  • Counselor
  • Saint Paul, NE
National Provider Identifier
1376108076
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2839 Issued in NE
Practice address
1113 Sherman St
Saint Paul, NE 68873-1546
Phone
(308) 754-4421
NPI assigned
May 8, 2019
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2839 NE Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

1113 Sherman St
Saint Paul, NE 68873-1546

Mailing address

622 Liberty Rd
Dannebrog, NE 68831-3163
Phone (308) 370-2580

Other practice location 1

622 Liberty Rd
Dannebrog, NE 68831-3163
Phone (308) 310-0878

Other identifiers 1

IdentifierTypeStateIssuer
470777075MedicaidNE

Other names 1

  • Katherine Vandemark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130001734 NE Practitioner - Mental Health Counselor 7416300140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2839NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Elephant Counseling LLC Counselor CurrentSince Jan 1, 2024 Accepting new patients
Family Resources of Greater Nebraska PC Mental Health PastSince Oct 1, 2000 Accepting new patients
Alivation Health, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1376108076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 LIBERTY RD",
            "city": "DANNEBROG",
            "state": "NE",
            "postal_code": "688313163",
            "telephone_number": "308-370-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 SHERMAN ST",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688731546",
            "telephone_number": "308-754-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Dannebrog",
            "state": "NE",
            "postal_code": "688313163",
            "country_code": "US",
            "telephone_number": "308-310-0878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONAHOO",
        "first_name": "KATHERINE",
        "credential": "LIMHP, LPC, PLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "2839",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470777075",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "VANDEMARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, NE

Sources for this page

Verify at the official NPI Registry.